City Of Philadelphia Department Of Revenue Form - Renewal Application - Application Approval - Certification Of Non-Indebtedness To The City Of Philadelphia Page 3

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City of Philadelphia
Department of Revenue
GENERAL INSTRUCTIONS
A.
Who Must File: In order to obtain the tax credit authorized under the
Contribution To A Community Development Corporation, business firms
must submit this renewal application for approval.
B.
When to File: Renewal Application must be filed on or before October
th
15
of each ear with the City of Philadelphia, Department of Revenue.
C.
Signature and Mailing: The application must be signed by an authorized
officer of the applicant. The original and two (2) copies of the renewal
application must be mailed to the Revenue Commissioner, Municipal
Services Building, Room 630, 1401 John F. Kennedy Boulevard,
Philadelphia, PA 19102.
D.
Claiming Tax Credit: You will receive a copy of the approved Renewal
Application
for
Tax
Credit
to
a
Community
Development
Corporation, attach a copy of the approved renewal application when
filing your tax return with the City of Philadelphia, Department of Revenue.
Section I
Item 1: Indicate exact name of business firm.
Item 2: Indicate address to which correspondence concerning this
application is to be directed.
Item 3: Person to be contacted if additional information is needed.
Item 4: Telephone number of contact person.
Item 5: Indicate Federal Identification Number (EIN) assigned to the
business.
Item 6: Indicate City of Philadelphia Business Privilege Tax Account
Number assigned to the business.
Item 7: List the date or dates of the $100,000 Annual Contribution to the
Community Development Corp.
Item 8: Indicate the commencement date that the business partner
entered into the Community Development Tax Credit Program.
3

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